后苏联国家的抗菌素耐药性监测:系统性审查
Dariga Zhazykhbayeva1, Dinagul Bayesheva2, Zhanar Kosherova1
1School of Medicine, Nazarbayev University, Astana 010000, Kazakhstan.
Antibiotics (Basel, Switzerland)
|January 8, 2025
概括
在前苏联国家,抗菌素耐药性 (AMR) 监测正在改善,大多数国家正在制定国家行动计划. 然而,标准化系统和质量评估需要进一步发展,以有效控制AMR.
科学领域:
- 全球卫生安全 全球卫生安全
- 传染病流行病学 传染病流行病学
- 公共卫生政策 公共卫生政策
背景情况:
- 抗菌素耐药性 (AMR) 构成了全球重大健康挑战.
- 有效的抗菌耐药性监测对于控制和干预策略至关重要.
- 从前苏联地区获得的有限的抗菌耐药性监测数据造成了知识差距.
研究的目的:
- 系统地审查前苏联国家的AMR监测工作和国家行动计划 (NAP).
- 确定这些国家现有的抗菌素耐药性监测系统的优点和弱点.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 搜索了五个数据库 (PubMed,MEDLINE,Embase,CINAHL,CyberLeninka) 和官方来源.
- 包括30篇关于AMR监测和NAP的出版物.
主要成果:
- 15个国家中有14个国家已经或正在制定NAP;7个国家有标准化的监控系统.
- 大多数国家都有参考实验室,但只有60%在所有地点使用标准测试方法.
- 全面质量评估的实施率很低 (20%);中亚和西亚国家显示监测不那么发达.
结论:
- 在所有审查的前苏联国家/地区,存在AMR监测,尽管水平各不相同.
- 调查结果突出了AMR监测和治理方面的进展和改进领域.
- 需要进一步参与,特别是在中亚和西亚,以加强对抗胰岛素耐药性控制的努力.
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